Medicare Plans — Part A, B, C, D & More

Turning 65 or already on Medicare and wondering if you're on the right plan? You're not alone — Medicare choices are genuinely complex. We help you understand every part and find coverage that fits your health needs and budget.

There are four main parts of Medicare, plus supplemental options. Here's what each means:

Part A — Hospital Insurance

Covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people don't pay a premium for Part A if they or their spouse paid Medicare taxes while working.

Part B — Medical Insurance

Covers doctor visits, outpatient care, preventive services, durable medical equipment, and some home health care. Part B has a standard monthly premium most people pay.

Part C — Medicare Advantage

Private plans that bundle Part A + B (and often Part D) into a single plan. Many include extra benefits like dental, vision, and fitness programs. May have lower premiums but networks apply.

Part D — Prescription Drug Coverage

Helps cover the cost of prescription medications. Plans vary in which drugs they cover and what you pay at the pharmacy. We review your medications against available plans to find the best fit.

Medigap (Supplemental Insurance)

Medigap plans help cover out-of-pocket costs that Original Medicare (Parts A & B) doesn't pay — like deductibles, copayments, and coinsurance. If you want predictable, minimal out-of-pocket costs, Medigap may be worth exploring.

There's also the Annual Election Period (October 15 – December 7) when you can change your Medicare Advantage or Part D coverage. We help you review whether a change makes sense every year.

When to Enroll

  • Initial Enrollment Period: 7-month window around your 65th birthday (3 months before, your birthday month, 3 months after)
  • General Enrollment: January 1 – March 15 each year (coverage starts July 1)
  • Open Enrollment: October 15 – December 7 each year for Part C and Part D changes
  • Special Enrollment Period: Triggered by qualifying life events (losing coverage, moving, etc.)
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Affordable Care Act Marketplace Plans

The Affordable Care Act (ACA) marketplace lets individuals and families shop for health insurance and potentially qualify for subsidies that lower monthly premiums — sometimes to $0.

Whether you're self-employed, between jobs, or your employer doesn't offer affordable coverage, the ACA marketplace may be your best option.

Key ACA Concepts

  • Metal tiers: Plans are categorized as Bronze, Silver, Gold, and Platinum. Bronze has lowest premiums but highest out-of-pocket costs; Platinum is the opposite.
  • Subsidies: Based on your household income and size, you may qualify for premium tax credits that reduce what you pay monthly.
  • Cost-sharing reductions: Silver plan members with lower incomes may also qualify for lower deductibles, copayments, and out-of-pocket limits.
  • Essential health benefits: All ACA plans cover doctor visits, hospital care, prescriptions, preventive care, maternity, mental health, and more.

Open Enrollment Period

The annual open enrollment window typically runs November 1 – January 15. Outside that window, you may qualify for a Special Enrollment Period if you have a qualifying life event (job loss, marriage, birth of a child, etc.).

Subsidy Eligibility

Many people don't realize they qualify for subsidies. If your household income is between roughly $14,000 and $75,000 for an individual (or higher depending on household size), you may receive a significant subsidy. We can run a quick eligibility review to show you what you might qualify for.

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Dental & Vision Coverage

Routine dental and vision care is important — and often not covered by basic health plans. We help you find standalone dental and vision plans, or bundled options that give you the coverage you need at a price that makes sense.

Dental Plans

  • Preventive coverage: Cleanings, X-rays, and exams — often covered 100%
  • Basic procedures: Fillings, extractions, and root canals
  • Major procedures: Crowns, bridges, and dentures (often at 50% coverage)
  • Annual maximums: Most plans cap how much they'll pay per year; we help you find plans with limits that work for your situation

Vision Plans

  • Eye exams: Annual exams to check vision and screen for conditions like glaucoma
  • Eyeglasses: Frames allowances and lens coverage
  • Contact lenses: Allowance toward contacts instead of glasses
  • Discount programs: Some plans offer discounts on LASIK and other procedures

Both dental and vision plans are available as individual policies, or as add-ons to your existing health coverage. We'll show you the options that make sense for your needs and budget.

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Travel Insurance

A single trip gone wrong can cost thousands — or worse, leave you without medical coverage in a foreign country. Travel insurance protects both your trip investment and your health when you're abroad.

What Travel Insurance Covers

  • Trip cancellation: Reimburses you if you have to cancel for a covered reason (illness, weather, job loss)
  • Trip interruption: Covers costs if you have to cut your trip short
  • Medical coverage abroad: Pays for doctor visits, hospital stays, and emergency care in a foreign country — critical if your US health plan doesn't cover you overseas
  • Emergency evacuation: Medevac from a remote location can cost $50,000+; travel insurance covers it
  • Baggage loss: Reimbursement for lost or stolen luggage
  • Travel delays: Covers hotel and meal costs if your flight is significantly delayed

Who Should Get Travel Insurance?

If you're traveling internationally — especially outside the US — we strongly recommend it. Even for domestic travel, it can be valuable if your trip involves non-refundable bookings. The cost is typically 4–8% of your total trip cost.

Pre-Existing Conditions

Many travel insurance policies cover pre-existing medical conditions if you buy within a certain window (usually 14 days of booking your trip). We can help you find a policy that covers your specific situation.

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Not Sure Which Service You Need?

A free call is the fastest way to get clarity. Tell us your situation and we'll point you in the right direction — even if that's not our service.

Or call: (404) 474-3176